Suture forceps



July 21, 1931. c 1 P|| |NG ET AL 1,815,725

' l SUTURE FORCEPS Y Filed Feb. 5, 1950 MCL @ma g.

f 10 yscribed andy claimed. f

y Patented Julyjd21", `r 1937171- d 'l ,Y i y1,815,725??y oifrAreIiEs J. PILnINGg 'ofLNsDoWNn AND BRUNO WIEGAND, or rHILADE'LPHIA;

rENNsYLvANIn `Assuanons. To THE: eso

RGE It. yFILLING e soN CoMPANY, or'V rHILADELrHrm.rnivrrsynvnme, A con roi-:Jurion r oFPENN'sYLvANIA @Apiiieation ledrebruary'e, 1930.` serial 1-Iv0.i25,55i3.r

' l 'Thisinvention` relates to improvementsin suture' 'forceps for vuse in, surgical Work. yThe object ofthe inventioiiis to provide af nofvehsimple and yefficient 'forceps by means; lb1 otvvhichasuture may'begpassed through the v e's'selor parts tofbe ligated Without*dangerr`y f oitearingthetissues.A

f il'lhejinvention consists oftheelements and ythe;'o ombiriations (of Vthem -hereinafter,.de-v

i In thejfaccompanyingdrawings.illustrate "ng'therention,f Y` y i 'Figile'l efL-S'defvew'ofaeforcepeshowng f one f ,Qrm Iof. embodiment Loffour invention,

the open position.

y:wand showingthe'parts oftlreinstrument section of thev needle orsewing. end portionl v 'ing the instrument'partially closedx' Figure 4l isaviewJsimilar/'to llE igs`..2 andf 3, showingftlieinstrument completely closed.;

more@ ef thelinetrumhtionline ,5f-591? t .Figure Gis altrmres@',seeioihdreh the :nate .rstand secondgmembers; respectively,

whith are riveted, tpgether at: 4, and," which areprovided With extensions y17ja r 1l l 8 having suitable y ihandles 1. v9v and 1Q,{resp'e ctively byy means Ofwhchfthe instrument may @be 'her1- dled and manipulatedand the membersZ and i Sfth'ereofkmoved toward and ktrom reachother tolclose vand openthe: instrument in the same ,mannen that lforceps f generallyare closed and opened-j e Theqree end portion of he' iin-'st member .2 has.l a @tube 1l yformed.therefon rin-secured? thereto" and'dreted 'twad ,the/rtree ,endof the; second member 35i andthe free end l. porf tion of theeend member :3 has a ,needle l2 j formdlthereon forgseeurdtheretoaand ,drecte'd t'oualrdftbetubeel1- The tubellg-an* needle f 1 2 are' :so relatively; ydisposed "on the needle 121s the suture has been free to pin 22 .which projects yth enter fromeach other the from Within the tube,as shoyvnf in Figs.r

` The ffree, or 'pointed' i end portion" ofv vvvhich a suture may be threaded lvvhe'nthe instrument is open, as shown in Fig, Al. 'Ater threaded through tlie eye 13,the instrument is closed, as shown in Fig.'

4, and during the closing thereof'thefporf thetubasshovvn in Figs. 3,45 5 and 6. y land thatwhen the members are moved away needle willbe Withdrawn provided With an eye 18 through? tions of the suture extending from theref d speotive .sides v,ofthe eyev 13A are' formedinto a loopy which is carried into thetube l11 by the needle'12. f ff 'The extension Soffthe -second member 3 is 'provided fWith a iiat springclip 14 between which: and the extension 8 oneof the end poriy tions of the suture'may be tucked to hold it in pla-ce While the otherendportion is left the nee slidabielqngaudinaiiy Within an pemfe `ing pin or part'15` having a flattened endpor-` tion 16 which is adapted to enter thetubefllq Y A f Whenthe pin 15 is moved from vthe position shown in .tened end .is ,located member 2 andfulcrumedona pin20 carried 'by the meinberZ andextending transversely `through the opening -19 circling the pin 20 laterally of the lever 178 vand lever andtheothereud thereof acting against 16 otthe`pin`15- project 'e The secondmember A 3 @fffem @were they* Fig. 3 tofthepositionshoWninFig; 4, and Whichjs adapted .tobe Withdrawn permit the suture t0 move throughy 'l dle eye-13 for a purpose hereinafter; .l

appearing. 'y v e 2.5 Figure-aiselongitudinal!Sectionthfough f7.5

in the'li'rst member2 is a suture loop retainf v 'he'end'of thein 1 5 remote frointlie g5 portiolif'ldthereof extends 'laterally '1i Y lntoyan opening or -slot 17 a lever18 which f. Withinan opening 19 the iirst A spring,` 21en- V f` yhaving one end thereofacting against the the member@ hjolds thelever` l8yand pin 15 .normally in theoperativeV position shown in Figs, k2 and with the attenedvend portion edjinto'the tube 11. .provided 'Withf a Y 00 p ofthe spring 21, as the needle 12 enters the Y vvhi'lebei'ngreturned'to its position above the ct() the part'or parts't'o be the samebetvveen l operates tov Withdraw Y n 'tion 1'6 of the'pin'lfromvvithin the Vtube 11 'as shown in Fig. 3. Just beforethe membersl '1eme permis;

' therefrom, one end 5 contact port 23are related so'tha't when the members 2 and 3 are moved toward each other from ,the open position shownV in Fig. 21, the Vend of the'pin 22 will engage thevcontactpart 2.3,*end'move thelever v187and pin 15 back to the position shown in Fig. 3 against the action Vtube 11; and, during the continuedmovement of the members 2 and 3 toward each other and l v after the eye 13 of the 'needle 12 'passes the path ofthe iiattened end portion 16 of the pin 15, and immediately Vbefore the members 2 f and 3 reach the final closed position, shotvn in Fig; 4,v the pin 23 of the lever jl'andther'eby ltree the lever and permit the spring 21 to return it and the pin 15130 the'positi'on shown in Figs. 2 and 4.v When the instrument is opened, a'ftyer'theclos-v ing operation above described, the free end portion fof' the pin' 22 ywill 'spring slightly Vtoward thevpivot-4asitengages*the lever 18 contactpart 2350i the lever.

Vhen the flattened' end 16 of the pin 15 is projected into the tube 11 it crosses the needle 12V and movesin'close proximity thereto and through a lateral depression 24 therein, so thatit Will be projected through a suture loop Y,carried into the tubell by the; needle.y

In using the instrument'the vsurgeon threads a Ysuture throughthe Veyer13 ot the needle 12 and extends the ends ofthe suture back in the region'of'the handles end 10, end,"if desired,i'tucl s oneendfportion under the'hold#l ing clip 14. Y He then applies the instrument ligated by grasping l the" needle 12-end tube 11 'find closing the f instrument` tightly; After thel instrumenthas been tightly closed, it is immediatelyireeopened. YDi'uing the lclosing ,of the instrument, the needleV 12 penetrates the part or parts to be ligated-andlcerriesa loop j 'ofthe suturetherethrough and into vthe tube 11,a-n'd the pin 22acts upon the Vlever'l and the iiattene-d endpor- '2e-nd 3`freach thefle'ompletely. closed position shown inY F'g, *'41, the pin 22escapes the lever heA spring 21 .to Vproject the tothe position shown in Fig-.2, causpin15 s iattened end 16 'of the instrument is refopene'd, the end 16 ofthe pin While theneedl'e" 12 is being'vvvithdrawn from vthe '.tissues,l leaviiig ,fthe suture 'extending throughthe seme. After the instrument has `been 'thus' re-opened,fthe rsutu-re lis released V22 will escape the contact part A, Y n 'pin '1'5'to be .j t Y proje'et'ed through thesuture loop carried into the tubel 11 bythe needle 12. -NoW,1When the thereofV 'drawn 'through Y We claimV as our invention k1.151 forceps comprising first Vand second connectedv members ,movable toward" and from each l other, a tubey on an end portion of said iirst member directedtovvard said secV ond member, a needle'eiz't'ending fixedly from an end portionoi said'second member and* vdirected towardv seidltube and being adapted to enter the same'Wlienthemembers are moved toward eachother, said'nee'dle having'an eye in its free end portion adapted to receive a suture and carry a loop thereof into. the tube (when the membersV are movedftoivard each Y other, a retaining part carriedzby saidfirst member and adaptedto'bel movedacross the needle and through a suture loop `carried thereby when the needle is Within the tube,

and means for vautomatically moving saidY part :across thef'needle and'jthroughev suture loop carried thereby When the members are moved toward each other. l I. v

V2. A forceps comprising first and'fsecond Connected members movable toward and from each other',`a tube on an endportion- 'oi said irstmember directed toward said second member, a'needle'extending fiXedly rom'an end portion of'said second member andfdi#k rected'tovvard Vsaid tube and being adapted to Y enter the same When the members are moved toward eachother, saidvneedle'having an eye init's freejendV portion adapted to receive a suture and carry a loop-thereofinto the tube when-the members are'moved' rtovvard each other, aret-aining Vpartfcarried bysaid first member kvand. movable` .Within theV tube and across the needle?andfthrough a suture loop carried thereby when theneedleis VWithin the tube, yielding means tending to move said part to'an operative position acrossthe needle and lmeans operated by' said members Vwhen they aremoved toward each other to move said part away ffroni said -operativefpositionand thereafter release it after the needleVY enters vthe tube and crosses the path of said part." Y

Y 3. A forcepscomprisingV first and second connected members'movable toivfirdv and from eachother, a tube on an end-portion of said i first lmember directedv tovvard said lsecond member, 'aneedle extending vfiXedly 'from' an' A end portion of said second memberand directed tovvard'saidftubeand beingfadapted to enter the' semev 4When the "members are moved 'toward each other., said! needle having fan 'eye in its free end vportion 'adaptedto receive a suture andlcarry a loop thereofinto thetube f enter the same when-*the members' are moved 'when the. members fare moved i toward each other, a retaining vpart slidable longitudinally withinan opening y.in-said Vfirst member and adapted@ the needle andthrough a suture loop carried be movedinto tube and across thereby when. the needle'is. within the kftube,

lever-fulcrumed onsaid rstjmember and connected to 'said kpart yielding means acting move saidV part j into ,the .tube to an operative i gage `said lever `and'operatre, it to move said i `Lpart when the jmembersjare moved toward each otheinf f f part away ',fromsaid operative position and thereafterrelease said leverafter the needle `enters thetube and crossesfthe path of said y '4. Avforcepsfcomprising 'first and second connected members movable towardl and from each other, a tube on'anxend portion of 'said rkfirst'memberdirected toward said second member, a needle' extendingxedlyffrom anl enter the same when the members are moved toward each other, said needle' having an eye inits free endgportion adapted to receive'a suture and carry a loop thereof into the tube 'y when the members `are moved' toward eachy other, a retaining part carriedbyr said first f Y memberand adapted to be moved across the needle and through a suture loop carried there by When the needle is within the tube, said needle having a depression therein adapted toV be entered by the retaining part when itis moved across the needle and means forautomatically moving said part across the needle f and througha suture loop carried thereby C when the members are moved toward 'eachy other.

In testimony tures nereto. t

BRUNO E. WIEGAND;

i vendportion of saidy second member and directed toward saidtube yand being adapted vto f l toward each "other,-said needle having an eye Y in its lfree end portion adapted to receivea sutureoand carry aloopthereo into the tube when the members arey moved toward each other7 a retaining vpart slidablel longitudii nallywithinan'openinginsaid first member y and adapted to bemovedinto the tube-and aorosstheneedle and/through a suture loop carried thereby when the needle is within ther tube, vafleverty fulcrul'ned on said lirst memf '4 fbeflld Connected to sad'partryelding means f i. i acting, upon said partrv and said lever and Ytendingto move saidy part into thetube'to an operative position/across lthe needle, Aan op- ,y

erating.'elementprojecting*from said second f memb,erandadapted to crosstheaxis ofthe 'v lever ulcrum when members are moved f towardv each'other,sa1d lever having yacon- 45.

tract part inl ther pathof said` element when'j 4 Ysaidnpart is insaidoperativeposition and the members are; moved ltovvard each other andy said 'element `being adapted to engage'sai'd lever andoperate it'tomove said part away from saidy Operative positionA and thereafter n V'Leleasesaid .leverffafter the needl'efenters theg tubeand[crosses the path )Said part and after said elementv crossesthe aXis of the lever y i @julcrumfwhen saidgfmembers are movedto-y l Ward, each other, saidlelementbeing yieldable ,Y

tojpermitit to .clearflthe contact part ofthe "lever Lwhen the each*y other.

`V"' member, an'ee'dle extending ii'xedlykfrom an Y end: portion Tof said secondfmemberand difL 65' rectedtoward' said tube. and being adapted to membersarelmoved'awayfrom Y CHARLES J.-PILLING. 

